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Provider Relations Specialist
Provider Relations SpecialistClaimReturn LLC • Dallas, TX, US
Provider Relations Specialist

Provider Relations Specialist

ClaimReturn LLC • Dallas, TX, US
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Job Description

Job Description

Provider Relations & Refunds Specialist is the lifeblood of ClaimReturn, the leading healthcare data analytics and recovery service that helps payers identify and recover improperly paid medical claims.

What You'll Do Daily

Relationship Building & Communication (Core Focus)

  • Contact healthcare provider offices to explain refund requests with professionalism and empathy
  • Navigate to the right department / decision -maker (typically accounts payable, practice manager, or billing)
  • Build trust-based relationships that facilitate smooth refund processing
  • Overcome objections diplomatically using your healthcare knowledge and our supporting documentation
  • Communicate the rationale for refund requests clearly and persuasively

Case Management & Execution

  • Own your portfolio of cases from initial contact through payment receipt
  • Advance 30+ cases daily through strategic follow-up and relationship nurturing
  • Make 30+ productive calls per day with purpose and efficiency
  • Maintain meticulous case notes using our standardized templates

    • Performance & Results

  • Achieve monthly recovery goal of payments received
  • Meet daily productivity metrics while maintaining quality relationships
  • Approach each case with urgency balanced with professionalism
  • Adapt your communication style based on provider responsiveness and concerns

    • What You Bring

    Required Qualifications :

  • 2-5 years of healthcare practice management experience (revenue cycle management, practice administration, office management, billing supervision, or similar client-facing healthcare operations roles)
  • Bachelor's degree from an accredited university
  • Strong understanding of :

    • Healthcare revenue cycle management

  • Medical practice operations and workflows
  • Accounts payable and collections processes
  • Medical billing and coding basics
  • Excel proficiency (you'll work with case data, tracking, and reporting)
  • Exceptional interpersonal skills – you can build rapport quickly and maintain it under pressure

    • Work Environment & Schedule

  • Location : On-site in Farmers Branch, TX (100% in-person collaboration)
  • Schedule : Monday–Friday, 8 : 00 AM – 4 : 30 PM
  • No weekends, evenings, or holidays!
  • Punctuality and consistent attendance are essential to team success and achieving metrics

    • What We Offer

    Compensation & Benefits :

  • Competitive salary commensurate with experience
  • Virtual comprehensive healthcare for you & your family- 100% free!
  • Discount dental and vision plan- 100% premium paid for employee
  • Generous time-off package

    • Ready to Make an Impact?

    Let's transform the future of healthcare together - apply today!

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    Provider Specialist • Dallas, TX, US

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